Turner C, Campbell E
State Center for Health Statistics, State of Florida Agency for Health Care Administration, Tallahassee 32308, USA.
Public Health Rep. 1999 Mar-Apr;114(2):149-56. doi: 10.1093/phr/114.2.149.
To assess the appropriateness of using state-level data on uninsured hospitalizations to estimate the uninsured population.
The authors used 1992-1996 data on hospitalizations of newborns and of appendectomy and heart attack patients in Florida to estimate the number of people in the state without health insurance coverage. These conditions were selected because they usually require hospitalization and they are common across demographic categories.
Adjusted for the gender and ethnic composition of the population, the percentages of uninsured hospitalizations for appendectomies and heart attacks produced estimates of the state's uninsured population 1.6 percentage points lower than those reported for 1996 in the US Census March Current Population Survey.
Data reported by hospitals to state agencies can be used to monitor trends in health insurance coverage and provides an alternative data source for a state-level analysis of the uninsured population.
评估使用州级未参保住院数据来估计未参保人口的合理性。
作者利用1992 - 1996年佛罗里达州新生儿、阑尾炎手术患者和心脏病发作患者的住院数据，来估计该州无医疗保险覆盖的人数。选择这些病症是因为它们通常需要住院治疗，且在不同人口类别中都很常见。
根据人口的性别和种族构成进行调整后，阑尾炎手术和心脏病发作的未参保住院百分比得出的该州未参保人口估计数，比美国人口普查局3月当期人口调查中报告的1996年数据低1.6个百分点。
医院向州机构报告的数据可用于监测医疗保险覆盖趋势，并为州级未参保人口分析提供替代数据源。
